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 Kansas Wind Power-W, 13569 214th Road, Holton, KS 66436       Phone: 785-364-4407,    Fax: 785-364-5123

                                     


 

 

 

Email _______________________________         Date_____________
Name _____________________________________________
Company __________________________________________
Mail Address _______________________________________
City _________________________State ____________Zip__________
Phone No. _________________________
               Ship to if different than above, UPS needs physical address
Name _____________________________________________
Company __________________________________________
Address ___________________________________________
City _________________________State ____________Zip__________
Phone No. _________________________
              Check or Money Order is preferred.   C.O.D. not available.
Discover, VISA, MasterCard No. _________________________________
Expiration Date _______    Card Code Numbers on Back ____________
Phone Number on Card Back _____________________________
Name on Card ______________________________________

Catalog No. Quantity Description Pounds Price Total
           
           
           
           
           
           
           
           
           
           
           
           
           

Total Pounds (round up to next full pound) 

 

Total

  

 

UPS Shipping Cost:  75¢ per pound plus $9 ______________
UPS insurance: Add 60¢ per each $100 value ______________
 US Post Office Shipping Cost: $1.20 per pound plus $9 ______________
US Post Office Insurance: $2.30 for first $100, then $1 per $100 remaining ______________
    Sub Total ______________
Add 6.7% sales tax on Sub Total for Kansas orders ______________
Total ______________

 Print this page and mail or fax with payment.      Shipping info and policies      Fax 785-364-5123

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Last modified: 11/04/09  Kansas Wind Power - W,  13569 214th Road, Holton, KS 66436   785-364-4407, 785-364-5123 fax All prices and specifications are subject to change without notice.